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Interprofessional Health Fairs: An Effective Tool For Interprofessional Education?, Caleb Holloway, Ashley Barbo, Bryan Donald, Min Jee Kim Nov 2023

Interprofessional Health Fairs: An Effective Tool For Interprofessional Education?, Caleb Holloway, Ashley Barbo, Bryan Donald, Min Jee Kim

Journal of Interprofessional Practice and Collaboration

Purpose: The purpose of this study was to determine whether interprofessional health fairs have a significant impact on the interprofessional education of students in health care disciplines.

Methods: An optional survey was administered to students participating in the health fairs in 2021 and 2022. The survey utilized four retrospective pre and post ICCAS assessment questions to address IPEC core competencies and two open ended questions to provide feedback about the health fair and report anything new learned from or about another health care discipline. The self-assessment questions were reported on a 5-point Likert scale and recorded in aggregate for both …


Improving Effective Care In Obese Patients In A Primary Care Clinic, Amy Miller Nov 2023

Improving Effective Care In Obese Patients In A Primary Care Clinic, Amy Miller

Journal of Interprofessional Practice and Collaboration

Background: Obesity is a preventable epidemic and costs the United States $200 billion annually. The leading causes of death are linked to obesity.

Local Problem: In a chart review, 53% of patients at a northeast Louisiana primary care clinic were obese. However, none were offered comprehensive lifestyle intervention. The aim was to increase the percentage of patients with BMI < 30 kg/m2 to 60% over 8 weeks.

Methods: A rapid-cycle quality improvement initiative was implemented using four Plan-Do-Study-Act cycles over 8 weeks. Each cycle produced tests of change related to screening, patient and team engagement, and assessing effective care. Run charts and aggregate tables were used to analyze …


The Ketogenic Diet Effect On Organ Chemistries, Rundk Hwaiz, Mohammad Mostafa, Sazan Talaat, Mohammed Merza Nov 2023

The Ketogenic Diet Effect On Organ Chemistries, Rundk Hwaiz, Mohammad Mostafa, Sazan Talaat, Mohammed Merza

Polytechnic Journal

Background: ketogenic diet refers to the diet plan that emphasizes foods that are high in fats, moderate proteins and very low carbohydrates to consume more calories from fat rather than carbohydrates and is commonly used as a weight-loss plan and in rare cases, as a treatment for some diseases. Objective: The aim of this study was to evaluate or assess organ functions in the individuals following ketogenic diet. Patients and methods: A total 31 samples were collected from individuals following ketogenic diet in male and femal aged from 20 to 55, and a control group which composed of 10 healthy …


Promotional Brochure: Dayton Civic Scholars, University Of Dayton Nov 2023

Promotional Brochure: Dayton Civic Scholars, University Of Dayton

Fitz Center Reports and Promotional Materials

The Dayton Civic Scholars program strives to shape students into civic leaders through education, sustained civic engagement, and several professional development opportunities. Fifteen students are selected at the end of their first year to become a cohort that will embark on a three-year commitment together.


Hmmelfarb Headlines - November/December 2023, George Washington University, Himmelfarb Health Sciences Library Nov 2023

Hmmelfarb Headlines - November/December 2023, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News, information, and resources relating to the Himmelfarb Library that is of interest to patrons


Growth Performance, Feed Utilization, Hematological Parameters, And Histological Features Of Nile Tilapia (Oreochromis Niloticus) Fed Diets With Supplementary Herbal Extracts Under Prolonged Water Exchange, Mohamed F.A. Abdel-Aziz, Mohammed F. El Basuini, Islam I. Teiba, Mohamed M.M. Metwally Nov 2023

Growth Performance, Feed Utilization, Hematological Parameters, And Histological Features Of Nile Tilapia (Oreochromis Niloticus) Fed Diets With Supplementary Herbal Extracts Under Prolonged Water Exchange, Mohamed F.A. Abdel-Aziz, Mohammed F. El Basuini, Islam I. Teiba, Mohamed M.M. Metwally

Faculty Journal Articles

No abstract provided.


Periodontal Disease And Alzheimer’S Disease, Lexis Labonte, Jaycee Cole Nov 2023

Periodontal Disease And Alzheimer’S Disease, Lexis Labonte, Jaycee Cole

Dental Hygiene Student Research Posters

There is a direct correlation between patients with periodontal disease and negative cognitive decline or Alzheimer’s disease. Research has proven that those who suffer from Alzheimer’s/dementia have a reduced dentition which negatively impacts masticatory function. With impaired masticatory function, it leads to poor nutrition which has a direct effect on cerebral stimulation and blood flow which worsens the effects of Alzheimer’s. The bacteria that is present during periodontitis, causes a spike in inflammatory cytokines. These cytokines invade the brain and trigger CNS inflammation which leads to cognitive decline.


Muhlenberg Magic, Lehigh Valley Health Network Nov 2023

Muhlenberg Magic, Lehigh Valley Health Network

LVHN documents

No abstract provided.


Development Of An Angiogenic Tissue-On-A-Chip Microenvironment, Eric Stuehr Nov 2023

Development Of An Angiogenic Tissue-On-A-Chip Microenvironment, Eric Stuehr

Master's Theses

Preclinical testing is necessary to investigate the safety and efficacy of novel therapeutics before moving to clinical trials, yet approximately 90% of these therapies fail once tested in humans. This has led to increased interest in developing robust preclinical models that accurately mimic the complex human in vivo physiology. Microfluidic devices that can introduce dynamic conditions to 3D cell/organoid cultures, also known as tissue-on-a-chip, have emerged as physiologically relevant in vitro preclinical models that can achieve high throughput screening of therapeutics. The research presented here aimed to develop an angiogenic environment within a novel microfluidic device to stimulate formation of …


Hockey Fans In Training Graduate Program (Hfit Grad): Process Evaluation Of An Add-On Fitness Program For Hfit Participants, Robert Petrella, Marisa Kfrerer, Olivia Crozier, Brendan Riggin, Wendy Blunt, Dawn P. Gill, Brooke Bliss Nov 2023

Hockey Fans In Training Graduate Program (Hfit Grad): Process Evaluation Of An Add-On Fitness Program For Hfit Participants, Robert Petrella, Marisa Kfrerer, Olivia Crozier, Brendan Riggin, Wendy Blunt, Dawn P. Gill, Brooke Bliss

Department of Medicine Publications

Context: Approximately 1 in 4 Canadian adults are living with obesity, indicating a need to provide accessible, sustainable, and locally tailored programs to manage the disease long-term. HFIT Grad was a 6-week exercise and physical activity pilot program offered to previous participants who completed Hockey FIT (a 12-week healthy lifestyle program for male hockey fans who were overweight or had obesity) within the last 12 months. Objective: Evaluate the acceptability of HFIT Grad for promoting maintenance of health behaviours developed in Hockey FIT. Study Design and Analysis: Participants who completed HFIT Grad (n=27) were invited to participate in a virtual …


Stakeholder Acceptability Of The Hockey Fans In Training Healthy Lifestyle Intervention, Robert Petrella, Melissa Majoni, Marisa Kfrerer, Narlon Boa Sorte Silva, Brendan Riggin, Wendy Blunt, Dawn P. Gill, Brooke Bliss, Guangyong Zou, Kate Shillington, Paul Aspinall, Jennifer Irwin Nov 2023

Stakeholder Acceptability Of The Hockey Fans In Training Healthy Lifestyle Intervention, Robert Petrella, Melissa Majoni, Marisa Kfrerer, Narlon Boa Sorte Silva, Brendan Riggin, Wendy Blunt, Dawn P. Gill, Brooke Bliss, Guangyong Zou, Kate Shillington, Paul Aspinall, Jennifer Irwin

Department of Medicine Publications

Context: Canadian men have a higher likelihood of having excess weight or obesity than Canadian women, which puts them at a significant risk of developing preventable chronic diseases. To address this issue, we created the Hockey Fans In Training (Hockey FIT) healthy lifestyle program designed for middle-aged male hockey fans with overweight or obesity.

Objective: In parallel to a cluster randomised trial of Hockey FIT, we conducted a process evaluation of the acceptability of the Hockey FIT program from the perspective of program participants, implementation partners, and program coaches. This included identifying areas to be improved for future delivery beyond …


Measuring The Impact Of Kisangas’ Biodigester, Francis Brooke, Liyara Senadheera Nov 2023

Measuring The Impact Of Kisangas’ Biodigester, Francis Brooke, Liyara Senadheera

Miller Center Fellowship

Kisangas provides sustainable organic waste management solutions for farmers and empowers them to use cow dung as an asset. They achieve this by offering a low-maintenance biodigester that converts cow waste into net-zero emission gas, utilized for cooking, heating water, and in some instances, generating electricity. Their product also produces a slurry which can be used as organic fertilizer to replace synthetic chemical fertilizers on their farms. Kisangas is a small startup so they lacked concrete data on their clients and data on their overall impact on the farmers who have their biodigester. To address this challenge, our team conducted …


Scope Of Open Education: A New Framework For Research, Virginia Clinton-Lisell, Jasmine Roberts-Crews, Lindsey Gwozdz Nov 2023

Scope Of Open Education: A New Framework For Research, Virginia Clinton-Lisell, Jasmine Roberts-Crews, Lindsey Gwozdz

Education, Health & Behavior Studies Faculty Publications

The field of open education and research on the topic has notably expanded since the introduction of the term 20 years ago. Given these developments, a framework to structure research inquiry is necessary to ground and organize findings in open education. We propose the SCOPE framework for open education research: social justice, cost, outcomes, perceptions, and engagement. In this article, we explain how this framework emphasizes the need for social justice at the forefront of open education research. In addition, we incorporate existing theories in social justice, motivation, cognition, pedagogy, and engagement into each of the components to propose theoretical …


Correlations Between Mental Health, Physical Activity, And Body Composition In American College Students After The Covid-19 Pandemic Lockdown, Luis Torres, Manuela C. Caciula, Alin S. Tomoiaga, Carmen Gugu-Gramatopol Nov 2023

Correlations Between Mental Health, Physical Activity, And Body Composition In American College Students After The Covid-19 Pandemic Lockdown, Luis Torres, Manuela C. Caciula, Alin S. Tomoiaga, Carmen Gugu-Gramatopol

Department of Exercise Science and Physical Education Scholarship and Creative Works

Restrictions associated with the COVID-19 pandemic had forced American college students to significantly reduce their daily energy expenditure and increase their sedentary behaviors, thus presumably increasing mental health symptoms, decreasing physical activity levels, and enhancing the promotion of unhealthy eating habits. This study aimed to explore the correlations between mental health symptoms, physical activity levels, and body composition in college students in the years following the pandemic, focusing on the lingering effects of lockdown measures. American college students completed pre-existing, well-validated surveys for both mental health (Hospital Anxiety and Depression Scale) and physical activity (International Physical Activity Questionnaire—Long Form). Body …


The Gut-Brain Axis Let's Talk About It, Megan Gibson Nov 2023

The Gut-Brain Axis Let's Talk About It, Megan Gibson

3 Minute Thesis Competition

No abstract provided.


Enhancing Diabetes Care In Lmics: Insights From A Multinational Consensus, Jose Carlos Miranda, S Abbas Raza, Babatope Kolawole, Jahanzeb Kamal Khan, Atiba Alvi, Fariha Sadiq Ali, Ejim Emmanuel Chukwudi, Nanik Ram, Amira Oluwatoyin Nov 2023

Enhancing Diabetes Care In Lmics: Insights From A Multinational Consensus, Jose Carlos Miranda, S Abbas Raza, Babatope Kolawole, Jahanzeb Kamal Khan, Atiba Alvi, Fariha Sadiq Ali, Ejim Emmanuel Chukwudi, Nanik Ram, Amira Oluwatoyin

Section of Diabetes, Endocrinology and Metabolism

The International Cardio-Metabolic Forum held a plenary session to establish a multinational consensus on the challenges faced in diabetes management within lower-middle-income countries (LMICs) and their potential solutions. Stakeholders, including patients, family/caretakers, healthcare professionals, and healthcare policymakers & organizations, participated in discussions. The audience of 280 doctors from 15 different countries (Pakistan, Qatar, Sri Lanka, Kenya, Myanmar, Georgia, Nigeria, Philippines, Uzbekistan, Iraq, Tanzania, Cambodia, Kazakhstan, South Sudan and Libya) was divided into 4 groups led by Group Leaders to represent each stakeholder group. Questionnaires addressing key challenges and solutions specific to each group were used to facilitate consensus development. Participants …


Determinats Of Antenatal Clinic Attendance Among Female Sex Workers, Nairobi County, Kenya, Lonah Vuhia Tunya Nov 2023

Determinats Of Antenatal Clinic Attendance Among Female Sex Workers, Nairobi County, Kenya, Lonah Vuhia Tunya

MSc in Advanced Practice Midwifery

Due to stigma and discrimination, female sex workers (FSWs) in sub-Saharan Africa encounter obstacles while attempting to get antenatal care (ANC), as sex work is a crime. As a result of not using family planning (FP), FSWs frequently experience unwanted pregnancies. This study looked into the antenatal experiences of FSWs, how they receive ANC and any obstacles they encounter. The broad objective of the study was to assess the determinants of ANC attendance among FSWs in Nairobi County. The specific objectives were to assess the level of knowledge on the importance of ANC attendance, identify the challenges to ANC attendance …


Factors Associated With Poor Glycaemic Control Among Patients With Type 2 Diabetes Mellitus At Gatundu Level 5 Hospital, Kiambu County, Kenya, Carolyne Wangare Ndungu Nov 2023

Factors Associated With Poor Glycaemic Control Among Patients With Type 2 Diabetes Mellitus At Gatundu Level 5 Hospital, Kiambu County, Kenya, Carolyne Wangare Ndungu

MSc in Advanced Practice Nursing

Background: Diabetes Mellitus poses a significant global public health concern, marked by a surge in morbidity and mortality rates. Its incidence and prevalence have witnessed a consistent rise over recent decades, with a projected rise. Occurrence of complications is primarily attributed to Poor Glycemic Control, which is attributed diabetes related complications, among them retinopathy, atherosclerosis, renal complications, amputations, as well as life threatening conditions; Diabetes Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State(HHS).

Purpose: This study sought to identify the proportion as well as factors linked to poor glycemic control among Type 2 Diabetes Mellitus patients at Gatundu Level Five in Kiambu …


Storage Stability Of Chocolate Can Be Enhanced Using Locust Protein-Based Film Incorporated With E. Purpurea Flower Extract-Based Nanoparticles, Shubam Singh, Hina F. Bhat, Sunil Kumar, Rana Muhammad Aadil, Maneesha S. Mohan, Charalampos Proestos, Zuhaib F. Bhat Nov 2023

Storage Stability Of Chocolate Can Be Enhanced Using Locust Protein-Based Film Incorporated With E. Purpurea Flower Extract-Based Nanoparticles, Shubam Singh, Hina F. Bhat, Sunil Kumar, Rana Muhammad Aadil, Maneesha S. Mohan, Charalampos Proestos, Zuhaib F. Bhat

Dairy Science and Food Science Faculty Publications: 2022 to Present

The study aimed to develop a locust protein (Loct-Prot)-based film to enhance the lipid oxidative and storage stability of chocolate. The E. purpurea flower extract based-nanoparticles (EFNPs) were developed using ultra- sonication (500 W and 20 kHz for 10 min) following a green method of synthesis. The EFPNs were incorporated at different levels [T0 (0%), T1 (1.0%), T2 (1.5%), and T3 (2.0%)] to impart bioactive properties to the Loct-Prot- based films which were used for packaging of white chocolate during 90 days trial. The addition of EFPNs increased (P < 0.05) the density of the Loct-Prot-based film which in turn decreased (P < 0.05) the transmittance (%) and WVTR (water vapour transmission rate, mg/mt2) with increasing levels of addition. While brightness (L*) showed a decrease, redness (a*) and yellowness (b*) increased with increasing concentration of EFPNs. No significant (P > 0.05) effect was recorded on other physicomechanical parameters of the film. …


Incorporation Of Probiotics And Other Functional Ingredients In Dairy Fat-Rich Products: Benefits, Challenges, And Opportunities, Kritika Gaba, Sanjeev Anand Nov 2023

Incorporation Of Probiotics And Other Functional Ingredients In Dairy Fat-Rich Products: Benefits, Challenges, And Opportunities, Kritika Gaba, Sanjeev Anand

Dairy Science and Food Science Faculty Publications: 2022 to Present

This review focuses on the potential opportunities to incorporate functional ingredients like probiotics in the dairy fat-rich matrix to develop functional foods. Many dietary guidelines and the relevant literature have in general indicated many benefits of consuming milk-fat-rich products for the human body. Milk fat contains essential nutrients, including fat-soluble vitamins; short-, medium-, and long-chain with odd and branched chain fatty acids; essential amino acids; and calcium, which are all known for their bioactive properties. In addition, the incorporation of probiotics, which are known for their bioactive properties, could further enhance the products’ attributes. However, direct probiotic addition is known …


A Phenomenological Exploration Of Women’S Lived Experiences During Their Pregnancy Lifecycle, Ashley J. Blount, Charmayne R. Adams, Kara M. Schneider, Gurudutt Pendyala, Ann L. Anderson-Berry, Corrine Hanson Nov 2023

A Phenomenological Exploration Of Women’S Lived Experiences During Their Pregnancy Lifecycle, Ashley J. Blount, Charmayne R. Adams, Kara M. Schneider, Gurudutt Pendyala, Ann L. Anderson-Berry, Corrine Hanson

Office of Health Promotion Scholarship

When considering peri-and-post natal health, there are several biopsychosocial risk factors at play. Biological, psychological, and social health factors are significant in contributing to maternal wellbeing and influencing maternal morbidity/mortality [1]. The Covid-19 pandemic had significant impacts on general populations and on vulnerable groups such as pre-peri-and-post natal women [2]. In previous epidemics, pregnant women were reluctant to attend hospitals and doctors’ appointments due to fear of infection [3]. Covid-19 has shown similar effects [2] and as such, risks associated with the pregnancy lifecycle have increased. A phenomenological investigation found themes of women experiencing negative healthcare, struggles with self-advocacy, heightened …


Clinical Practice Patterns Of Speech-Language Pathologists For Screening And Identifying Dysphagia, Matthew Dumican, Zoë Thijs Ph.D., Kaitlynn Harper Nov 2023

Clinical Practice Patterns Of Speech-Language Pathologists For Screening And Identifying Dysphagia, Matthew Dumican, Zoë Thijs Ph.D., Kaitlynn Harper

Communication Sciences and Disorders: Faculty Publications

Purpose: To identify how speech-language pathologists (SLPs) in the UnitedStates are screening for and identifying dysphagia. To do this, we examined theapproaches most often used to screen for dysphagia and the influence of contex-tual factors such as setting, continuing education and means of staying up to datewith the most current literature on screening approaches.Method: A web-based survey composed of 32 questions was developed andfield tested for content, relevance and workflow. The survey was distributedonline, via social media, online SLP forums and through the American Speech-Language-Hearing Association’s Special Interest Group 13 (swallowing disor-ders). One hundred and thirty-seven clinicians from the United …


Association Of Elevated Serum Aldosterone Concentrations In Pregnancy With Hypertension, Robin C. Shoemaker, Marko Poglitsch, Dolph Lewis Davis Iii, Hong Huang, Aric Schadler, Neil Patel, Katherine Vignes, Aarthi Srinivasan, Cynthia Cockerham-Morris, John Anthony Bauer, John M. O’Brien Nov 2023

Association Of Elevated Serum Aldosterone Concentrations In Pregnancy With Hypertension, Robin C. Shoemaker, Marko Poglitsch, Dolph Lewis Davis Iii, Hong Huang, Aric Schadler, Neil Patel, Katherine Vignes, Aarthi Srinivasan, Cynthia Cockerham-Morris, John Anthony Bauer, John M. O’Brien

UK CARES Faculty Publications

Emerging evidence indicates a previously unrecognized, clinically relevant spectrum of abnormal aldosterone secretion associated with hypertension severity. It is not known whether excess aldosterone secretion contributes to hypertension during pregnancy. We quantified aldosterone concentrations and angiotensin peptides in serum (using liquid chromatography with tandem mass spectrometry) in a cohort of 128 pregnant women recruited from a high-risk obstetrics clinic and followed prospectively for the development of gestational hypertension, pre-eclampsia, superimposed pre-eclampsia, chronic hypertension, or remaining normotensive. The cohort was grouped by quartile of aldosterone concentration in serum measured in the first trimester, and blood pressure, angiotensin peptides, and hypertension outcomes …


Nursing News & Views - November 2023, Joanne Miller Rn Nov 2023

Nursing News & Views - November 2023, Joanne Miller Rn

Nursing Newsletters

No abstract provided.


2023 - The Fourth Annual Fall Symposium Of Student Scholars Nov 2023

2023 - The Fourth Annual Fall Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Fall 2023 Symposium of Student Scholars, held in November 2023. Includes abstracts from the presentations and posters.


Advancing Equity And Congestion Relief: An Investigation Of On-Demand Shared Rides For Underserved Populations, Ipek Nese Sener, Austin Sibu, Audrey Cabay Nov 2023

Advancing Equity And Congestion Relief: An Investigation Of On-Demand Shared Rides For Underserved Populations, Ipek Nese Sener, Austin Sibu, Audrey Cabay

Research Reports

Transportation network companies (TNCs) and microtransit are changing the way people travel by providing dynamic, on-demand mobility that can supplement public transit and personal vehicle use. However, heavy use of such motorized vehicles among all sociodemographic populations could contribute to increased vehicle miles traveled, congestion, and/or greenhouse gas emissions. To balance the objectives of increasing mobility and access for underserved communities while simultaneously mitigating the potential adverse impacts of increased motor vehicle use, well-designed policy strategies, such as pooling and first-mile/last-mile linkages, are needed. In this study, we applied a mixed-method approach to examine on-demand transportation services for underserved populations …


Impact Of Transglutaminase Treated Micellar Casein Concentrate And Milk Protein Concentrate On The Functionality Of Processed Cheese Product Slice Formulations, Prafulla Salunke, Lloyd E. Metzger Nov 2023

Impact Of Transglutaminase Treated Micellar Casein Concentrate And Milk Protein Concentrate On The Functionality Of Processed Cheese Product Slice Formulations, Prafulla Salunke, Lloyd E. Metzger

Dairy Science and Food Science Faculty Publications: 2022 to Present

Milk protein concentrate (MPC) is used as an ingredient in processed cheese product (PCP) formulations. However, its use can result in texture defects such as a soft body and restricted melting characteristics. The use of micellar casein concentrate (MCC), which has a higher level of casein and less serum protein, improves the texture of PCP. Further improvement in PCP products may be possible using transglutaminase (TGase), an enzyme that can crosslink proteins. This study aimed to determine the effect of TGase treatment of MPC and MCC retentates on the functionality of MPC and MCC when used in a PCP slice …


Incorporation Of Probiotics And Other Functional Ingredients In Dairy Fat-Rich Products: Benefits, Challenges, And Opportunities, Kritika Gaba, Sanjeev Anand Nov 2023

Incorporation Of Probiotics And Other Functional Ingredients In Dairy Fat-Rich Products: Benefits, Challenges, And Opportunities, Kritika Gaba, Sanjeev Anand

Dairy Science and Food Science Faculty Publications: 2022 to Present

This review focuses on the potential opportunities to incorporate functional ingredients like probiotics in the dairy fat-rich matrix to develop functional foods. Many dietary guidelines and the relevant literature have in general indicated many benefits of consuming milk-fat-rich products for the human body. Milk fat contains essential nutrients, including fat-soluble vitamins; short-, medium-, and long-chain with odd and branched chain fatty acids; essential amino acids; and calcium, which are all known for their bioactive properties. In addition, the incorporation of probiotics, which are known for their bioactive properties, could further enhance the products’ attributes. However, direct probiotic addition is known …


Increasing The Acceptance Of Cultivated Meat, Mark Chong Nov 2023

Increasing The Acceptance Of Cultivated Meat, Mark Chong

Asian Management Insights

Factors to consider when designing communication strategies for diverse nations.


Grazing Stubbles And Dry Pasture, Department Of Primary Industries And Regional Development, Western Australia Nov 2023

Grazing Stubbles And Dry Pasture, Department Of Primary Industries And Regional Development, Western Australia

Animal production and livestock factsheets

Dry pastures in Western Australia provide good early feed after senescence but rapidly become unable to maintain stock. Stubbles are the major feed source for sheep during the summer-autumn period.

While there is often up to three tonnes of dry plant material per hectare available, sheep grazing stubbles eat only about 6% of it. With increased harvesting efficiency and better weed control, stubble paddocks now generally contain less grain and fewer weeds than in the past.